Data Control Clerk - Full Time

Riverside Medical Clinic; Riverside (CA); Hybrid; USD 42,000 - 62,000; Full time

Benefits offered by this job

Challenging environment

Growth opportunities within UHS

Competitive compensation

Job summary

Riverside Medical Clinic in Riverside, CA is seeking a candidate to verify eligibility and benefits for patient services, perform data entry, and handle referrals. The role includes responding to referral inquiries and coordinating with health plans and providers.

Successful candidates will verify benefits, update authorizations, and ensure timely processing to support efficient patient care workflows.

Qualifications

• Ability to review and submit authorization requests to health plan portals.
• Ability to answer questions related to referral inquiries.
• Ability to verify patient benefits and eligibility.

Responsibilities

• Review and submit authorization requests to health plan payor portals while maintaining internal deadlines.
• Answer phone calls regarding questions related to any referral inquiries.
• Monitor messages that are sent to, and received by, provider’s offices within a timely manner.

Skills

Communication skills

Attention to detail

Time management

Education

High school diploma or GED

Tools

Health plan portals

Job description

Responsibilities

Come and join the RMC Family!

We have been in the community since 1935. Our mission is to provide comprehensive multi-specialty medical services in the greater Riverside region. Your passion, inspiration, and talents are invaluable to us and our mission to serve others. Our facility can provide a place for you to thrive and continue your professional development. Quality Healthcare is our passion, improving lives is our reward.

We are working to change lives and transform the delivery of healthcare.

Riverside Medical Clinic is the best place to work, practice medicine, and receive care.

Website: https://www.riversidemedicalclinic.com/

SUMMARY: Verifies eligibility and benefits for patient services. Provides data entry and hard copy authorization for referrals. Answer phone calls regarding referral related inquiries.

QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential function satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

ESSENTIAL FUNCTIONS:

Essential functions are those tasks, duties and responsibilities that comprise the means of accomplishing the job’s purpose and objectives. Essential functions are critical or fundamental to the performance of the job. They are the major functions for which the person in the job is held accountable. Note: (other duties may be assigned, deleted or changed at any time, at the discretion of management, formally, or informally, either verbally or in writing).

• 1.Review and submit authorization requests to respective health plan payor portals while maintaining internal deadlines.


• 2.Answer phone calls regarding questions related to any referral inquiries.


• 3.Monitor messages that are sent to, and received by, provider’s offices within a timely manner.


• 4.Verify patient benefits and eligibility prior to requesting authorizing services or supplies.


• 5.Update insurance records as necessary.


• 6.Communicate system malfunctions and required benefit file updates, as necessary, to ensure system accuracy.


• 7.Update authorizations on system to ensure timely turnaround and compliance with health plan requirements.

This opportunity offers the following:

• Challenging and rewarding work environment


• Growth and Development Opportunities within UHS and its Subsidiaries


• Competitive Compensation

About Universal Health Services

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.www.uhs.com

Qualifications

EDUCATION and/or EXPERIENCE: High school diploma or GED required. One to three months related experience and/or training; or equivalent combination of education and experience preferred.

CERTIFICATES, LICENSES, AND REGISTRATIONS: None.

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.